Interim / Quarterly Report • May 14, 2024
Interim / Quarterly Report
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1 Company announcement no. 11 2023/24 | 14 May 2024

Ambu A/S, Baltorpbakken 13, DK-2750 Ballerup Registration no. 63644919
In the second quarter of the 2023/24 financial year, Ambu delivered 15.5% organic revenue growth and a 14.2% EBIT margin before special items. This was driven by Endoscopy Solutions growing 22.3% and Anaesthesia & Patient Monitoring growing 7.0%.
On April 10, 2024, Ambu raised its financial guidance by upgrading its full-year organic revenue growth to 10-12% from 7-10% and EBIT margin before special items to 10-12% from 8-10%. In addition, the company raised its free cash flow expectations to DKK +370m from DKK +270m. This was mainly driven by better-thanexpected outcomes of contract negotiations in Anaesthesia & Patient Monitoring.
"I am pleased with the performance within the second quarter of our fiscal year 2023/24, where our Endoscopy Solutions business delivered 22.3% organic revenue growth, and we improved both our profitability and free cash flow, slightly ahead of our ongoing transformation to deliver profitable growth.
Our Endoscopy Solutions business grew in all segments, and we recently expanded and strengthened our offering within gastroenterology by obtaining North American regulatory clearance (FDA) of aScope™ Gastro Large and aScope™ Duodeno 2. All in all, strengthening our customer value proposition and foundation for long-term growth, and I am thankful for the great work by colleagues across Ambu."

BRITT MEELBY JENSEN Chief Executive Officer
A conference call is broadcast live today, Tuesday 14 May 2024, at 11:00 (CET), via ambu.com/webcastQ22024. To ask questions during the Q&A session, please register prior to the call via ambu.com/conferencecallQ22024register. Upon registration, you will receive an e-mail with information to access the call. The presentation can be downloaded at Ambu.com/presentations.
Last year's comparative figures are presented in brackets.
| DKKm | Q2 2023/24 |
Q2 2022/23 |
YTD 2023/24 |
YTD 2022/23 |
FY 2022/23 |
|---|---|---|---|---|---|
| Income statement | |||||
| Revenue | 1,367 | 1,189 | 2,621 | 2,321 | 4,775 |
| Gross profit | 813 | 664 | 1,552 | 1,326 | 2,713 |
| EBITDA before special items | 285 | 125 | 498 | 273 | 632 |
| Depreciation, amortisation and impairment | -91 | -79 | -178 | -159 | -330 |
| EBIT before special items | 194 | 46 | 320 | 114 | 302 |
| Special items | 0 | 0 | 0 | 0 | -8 |
| EBIT | 194 | 46 | 320 | 114 | 294 |
| EBITDA | 285 | 125 | 498 | 273 | 642 |
| Net financials | -7 | -27 | -13 | -67 | -84 |
| Profit before tax | 187 | 19 | 307 | 47 | 210 |
| Net profit for the period | 144 | 15 | 236 | 37 | 168 |
| Cash flow | |||||
| Cash flow from operating activities (CFFO) | 196 | 99 | 385 | 1 | 518 |
| Cash flow from investing activities (CFFI) | -68 | -78 | -122 | -154 | -326 |
| Free cash flow (FCF) | 128 | 21 | 263 | -153 | 192 |
| CFFO, % of revenue | 14 | 8 | 15 | 0 | 11 |
| CFFI, % of revenue | -5 | -6 | -5 | -7 | -7 |
| FCF, % of revenue | 9 | 2 | 10 | -7 | 4 |
| Balance sheet | |||||
| Assets | 7,061 | 6,937 | 7,061 | 6,937 | 6,859 |
| Net working capital | 1,011 | 1,108 | 1,011 | 1,108 | 939 |
| Equity | 5,605 | 5,212 | 5,605 | 5,212 | 5,393 |
| Net interest-bearing debt | 243 | 733 | 243 | 733 | 427 |
| Invested capital | 5,848 | 5,945 | 5,848 | 5,945 | 5,820 |
| DKKm | Q2 2023/24 |
Q2 2022/23 |
YTD 2023/24 |
YTD 2022/23 |
FY 2022/23 |
|---|---|---|---|---|---|
| Key figures and ratios | |||||
| Organic growth, % | 15.5 | 4.2 | 14.9 | 4.0 | 7.6 |
| Gross margin, % | 59.5 | 55.8 | 59.2 | 57.1 | 56.8 |
| OPEX ratio, % | 45.3 | 52.0 | 47.0 | 52.2 | 50.5 |
| EBITDA margin before special items, % | 20.8 | 10.5 | 19.0 | 11.8 | 13.2 |
| EBIT margin before special items, % | 14.2 | 3.9 | 12.2 | 4.9 | 6.3 |
| EBIT margin, % | 14.2 | 3.9 | 12.2 | 4.9 | 6.2 |
| EBITDA margin, % | 20.8 | 10.5 | 19.0 | 11.8 | 13.4 |
| Tax rate, % | 23 | 21 | 23 | 21 | 20 |
| Return on equity, % | 13 | -1 | 13 | -1 | 3 |
| NIBD/EBITDA before special items | 0.3 | 1.6 | 0.3 | 1.6 | 0.7 |
| Equity ratio, % | 79 | 75 | 79 | 75 | 79 |
| Net working capital, % of revenue | 20 | 24 | 20 | 24 | 20 |
| Return on invested capital (ROIC), % | 7 | 2 | 7 | 2 | 4 |
| Average number of employees | 4,799 | 4,290 | 4,750 | 4,350 | 4,385 |
| Share-related ratios (in DKK) | |||||
| Market price per share | 114 | 103 | 114 | 103 | 74 |
| Earnings per share (EPS) | 0.54 | 0.06 | 0.89 | 0.15 | 0.64 |
| Diluted earnings per share (EPS-D) | 0.54 | 0.06 | 0.89 | 0.15 | 0.64 |
Key figures and ratio definitions are consistent with the ones applied in the Annual Report 2022/23.
| DKKm | Q2 2023/24 | Split | Q2 2022/23 | Organic | Currency | Reported | YTD 2023/24 | YTD 2022/23 | Organic | Currency | Reported |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Endoscopy solutions | 807 | 59% | 663 | 22.3% | -0.6% | 21.7% | 1,555 | 1,280 | 23.6% | -2.1% | 21.5% |
| - Pulmonology | 427 | 31% | 378 | 13.9% | -0.9% | 13.0% | 825 | 724 | 15.9% | -1.9% | 14.0% |
| - Excluding pulmonogy | 380 | 28% | 285 | 33.3% | 0.0% | 33.3% | 730 | 556 | 33.7% | -2.4% | 31.3% |
| Anaesthesia & Patient Monitoring |
560 | 41% | 526 | 7.0% | -0.5% | 6.5% | 1,066 | 1,041 | 4.2% | -1.8% | 2.4% |
| - Anaesthesia | 287 | 21% | 264 | 9.1% | -0.4% | 8.7% | 555 | 537 | 5.7% | -2.3% | 3.4% |
| - Patient Monitoring | 273 | 20% | 262 | 4.8% | -0.6% | 4.2% | 511 | 504 | 2.5% | -1.1% | 1.4% |
| Total | 1,367 | 100% | 1,189 | 15.5% | -0.5% | 15.0% | 2,621 | 2,321 | 14.9% | -2.0% | 12.9% |
| DKKm | Q2 2023/24 | Split | Q2 2022/23 | Organic | Currency | Reported | YTD 2023/24 | YTD 2022/23 | Organic | Currency | Reported |
|---|---|---|---|---|---|---|---|---|---|---|---|
| North America | 684 | 50% | 586 | 18.9% | -2.2% | 16.7% | 1,315 | 1,171 | 16.0% | -3.7% | 12.3% |
| Europe | 541 | 40% | 473 | 13.7% | 0.7% | 14.4% | 1,046 | 913 | 14.3% | 0.3% | 14.6% |
| Rest of World | 142 | 10% | 130 | 7.5% | -1.7% | 9.2% | 260 | 237 | 11.9% | -2.2% | 9.7% |
| Total | 1,367 | 100% | 1,189 | 15.5% | -0.5% | 15.0% | 2,621 | 2,321 | 14.9% | -2.0% | 12.9% |


Endoscopy Solutions excl. pulmonology
4 Company announcement no. 11 2023/24 | 14 May 2024


Last year's comparative figures are stated in brackets.
Endoscopy Solutions sales for the quarter were up, reflecting organic growth of 22.3% (10.6%) and reported growth of 21.7% (12.8%), with revenue of DKK 807m (DKK 663m). Endoscopy Solutions accounted for 59% (56%) of Ambu's total revenue in Q2 2023/24.
The satisfactory growth in Endoscopy Solutions was mainly driven by Ambu's pre-existing solutions in the growing single-use market.
Pulmonology posted 13.9% organic for Q2, accounting for 53% of the total endoscopy revenue. Ambu's bronchoscopy portfolio was the biggest growth contributor, while also VivaSight™ 2 DLT contributed positively, due to the global market re-launch in March 2023.
Moreover, the strong growth in pulmonology was positively impacted by the flu season this quarter, which overall reached a level above a five-year average. It was also slightly positively impacted by post-Covid-19 market normalisation, with health systems having more balanced order patterns.
The Center for Medicare & Medicaid Services (CMS) granted the aScope 5 Broncho HD TPT effective 1 January 2024, enabling incremental reimbursement payments for outpatient procedures performed with Ambu's fifth-generation bronchoscope. TPT was granted due to the solution's substantial clinical improvement, compared to existing single-use and reusable bronchoscopy technologies. Ambu hasted outcomes received positive interest towards this opportunity.
The aScope™ 5 Broncho HD targets the bronchoscopy suite, representing a new customer group for Ambu.
Feedback continues to be positive, resounding the aScope™ 5 Broncho's excellent performance, compared to reusable bronchoscopes.
In Q2, Ambu is also announcing Ambu Broncho Simulator, which is a software-based training platform developed with Artificial Intelligence, intended for pulmonology training.
posted 33.3% organic growth, accounting for 47% of Ambu's total endoscopy revenue. The biggest growth drivers were urology and ENT, which posted continued high double-digit growth.
Ear-nose-throat (ENT) and urology continued their double-digit organic growth trajectory, due to an increased pace of order uptakes and penetration of new customers, especially in North America and Europe. Otolaryngologists and urologists value the workflow efficiencies brought forth by Ambu's singleuse solutions, which supports the continued conversion towards single-use in the two segments.
Gastroenterology (GI) sales continued growing and were mainly driven by Ambu's two gastroscope solutions, aScope™ Gastro and aScope™ Gastro Large. The GI segment accounts for a small part of Ambu's Endoscopy Solutions business, representing a longterm growth potential for Ambu. Focus is on applying a stepwise expansion within high-need, niche areas and bringing new functionalities to customers by leveraging new technology, fuelling long-term growth.
In Q2, Ambu strengthened its gastroenterology (GI) offering by obtaining North American regulatory clearance of two new solutions, the aScope™ Gastro Large and aScope™ Duodeno. The aScope™ Gastro Large is designed to address acute therapeutic procedures in the ICU, thereby complimenting the aScope™ Gastro solution, which targets procedures outside of the endoscopy unit, such as surgical gastroscopies in the OR and bedside procedures in the ICU. Both solutions are now commercially available in Europe and North America. Globally, the aScope™ Gastro Large targets 1.5 million annual procedures, while the aScope™ Gastro is expected to meet needs within a market of 2 million annual procedures.
The new generation aScope™ Duodeno 2 constitutes a step change from previous generations, driven by valuable collaboration with healthcare professionals and aimed to meet the unique needs of gastroenterologists performing ERCP procedures. Ambu will conduct an extended controlled market release with key hospitals to evaluate the clinical performance in a real-life setting. The solution will be available in the market from 2024/25, and European clearance is expected to be obtained later in 2024. Globally, the solution targets 0.4 million annual procedures.
Endoscopy Solutions organic revenue growth
22.3% in Q2 2023/24
Last year's comparative figures are stated in brackets.
Organic growth in Anaesthesia & Patient Monitoring was 7.0% (-2.8%) in Q2, and reported growth was 6.5% (-1.5%). With revenue of DKK 560m, Anaesthesia & Patient Monitoring accounted for 41% (44%) of Ambu's total revenue for the quarter.
Similar to Endoscopy Solutions, Anaesthesia & Patient Monitoring was impacted by normalised post-Covid-19 levels, with stable market growth.
Last year, Ambu announced that the company would launch strategic initiatives to increase profitability by implementing price increases in selected low-margin areas within Anaesthesia & Patient Monitoring. As contracts typically run for 1-3 years and thus are renewed and re-negotiated over time, the price increases are expected to be implemented on a rolling basis throughout the coming years. In general, the price increases are being implemented gradually, and based on better-than-expected outcomes of contract negotiations, Ambu now expects positive growth in Anaesthesia & Patient Monitoring. Still, the volume growth prospects are not fully visible, leaving Anaesthesia & Patient Monitoring with some degree of uncertainty.
The performance was slightly offset by Ambu's exit from ~40 markets, where the majority is related to the Anaesthesia & Patient Monitoring business. The exit of these markets has already been completed.
Ambu has made significant progress wit

| DKKm | Q2 2023/24 |
Q2 2022/23 |
Change in value |
Change % |
YTD 2023/24 |
YTD 2022/23 |
Change in value |
Change % |
|---|---|---|---|---|---|---|---|---|
| Revenue | 1,367 | 1,189 | 178 | 15% | 2,621 | 2,321 | 300 | 12.9% |
| Production costs | -554 | -525 | -29 | 6% | -1,069 | -995 | -74 | 7.4% |
| Gross profit | 813 | 664 | 149 | 22% | 1,552 | 1,326 | 226 | 17.0% |
| Gross margin, % | 59.5 | 55.8 | ‐ | ‐ | 59.2 | 57.1 | ‐ | ‐ |
| Selling and distribution costs | -381 | -394 | 13 | -3% | -759 | -780 | 21 | -2.7% |
| Development costs | -81 | -69 | -12 | 17% | -155 | -138 | -17 | 12.3% |
| Mgmt and admin. costs | -157 | -155 | -2 | 1% | -318 | -294 | -24 | 8.2% |
| Total OPEX | -619 | -618 | -1 | 0% | -1,232 | -1,212 | -20 | 1.7% |
| EBIT | 194 | 46 | 148 | 322% | 320 | 114 | 206 | 180.7% |
| EBIT margin, % | 14.2 | 3.9 | ‐ | ‐ | 12.2 | 4.9 | ‐ | ‐ |
Revenue for Q2 was DKK 1,367m (DKK 1,189m), reflecting a reported growth of 15.0% (6.0%) and a 15.5% (4.2%) underlying organic growth.
Revenue year-to-date was DKK 2,621m (DKK 2,321m), equivalent to reported growth of 12.9% (7.8%) and organic growth of 14.9% (4.0%).
Gross profit in Q2 was up 22.4% to DKK 813m (DKK 664m), and the gross margin increased by 3.7 percentage points to 59.5% (55.8%). The increase in gross margin was mainly driven by scale in our production costs and some tailwinds from currencies.
For-the-year to date, gross profit was DKK 1,552m (DKK 1,326m), and the gross margin increased by 2.1 percentage points .
The average exchange rate in Q2, changed against DKK, relative to last year was as follows: USD by -1%, MYR -8%, CNY -6% and GBP 3%. The combined exchange rate impact on the reported revenue growth in percentage points for Q2 was -0.5%, while being - 2.0% for the year-to-date.


In Q2, OPEX totalled DKK 619m, consistent with last year's figure of DKK 618m, showing insignificant net changes compared to last year. Currency effects were negligible.
The underlying expense composition in Q2 was impacted by a significant decrease in freight costs, due to higher rate levels in Q2 last year, although off-set by increased depreciations and amortisations and lower level of capitalised staff costs, compared to last year.
The OPEX ratio was 45.3% (52.0%).
Year-to-date, OPEX totalled DKK 1,232m (DKK 1,212m), corresponding to 47.0% (52.2%) of revenue.

Selling and distribution costs were DKK 381m (DKK 394m) in Q2, down by 3% from the prior-year period.
Overall, the decrease was driven by distribution costs, partly off-set by higher sales costs as investments in the sales force have been increased.
Selling and distribution costs corresponded to 27.9% (33.1%) of revenue in Q2.
Year-to-date costs were DKK 759m (DKK 780m), corresponding to 29.0% (33.6%) of revenue.
Development costs in Q2 totalled DKK 81m (DKK 69m).
Year-to-date, development costs totalled DKK 155m (DKK 138m), corresponding to 5.9% (5.9%) of revenue.
Total cash flow impact of R&D was DKK 130m, corresponding to a decrease of DKK 37m, compared to the prior-year period. The decrease is according to plan.
| DKKm | YTD 2023/24 |
YTD 2022/23 |
Change in value |
|---|---|---|---|
| Development costs | 155 | 138 | 17 |
| - Depreciation, | -102 | -83 | -19 |
| amortisation and | |||
| impairment losses | |||
| + Investments | 77 | 112 | -35 |
| = Cash flow, R&D | 130 | 167 | -37 |
Management and administrative costs for Q2 were DKK 157m (DKK 155m), corresponding to 11.5% (13.0%) of revenue.
Year-to-date, costs totalled DKK 318m (DKK 294m), corresponding to 12.1% (12.7%) of revenue.
Year-to-date, special items was DKK 0m (DKK 0m).
Operating profit (EBIT) was DKK 194m (DKK 46m) in Q2, with an EBIT margin of 14.2% (3.9%). EBIT was DKK 320m (DKK 114m) for the year-to-date, with an EBIT margin of 12.2% (4.9%).
The improved EBIT margin of 10.3 percentage points, compared to Q2 last year, was driven by revenue growth, improved gross margin and scale effects from unchanged OPEX, while soft tailwinds from currencies accounted for approximately 1 percentage point for the quarter and year-to-date.

Depreciation, amortisation and impairment (DA) for Q2 represented an expense of DKK 91m (DKK 79m), corresponding to 6.7% (6.6%) of revenue.
Year to date, DA represented an expense of DKK 178m (DKK 156m), corresponding to 6.8% (6.7%) of the revenue. The increase in value was driven by amortisations from completed development projects.
EBITDA was DKK 285m (DKK 125m), with an EBITDA margin of 20.8% (10.5%).
Net financials amounted to an expense of DKK 13m (DKK 67m) for the year -to -date, corresponding to a decrease of DKK 54m in net financials.
The decrease in net financials is driven by foreign exchange losses, mainly from intercompany receivables, denominated in USD, and interest expenses from banks.
For the year -to -date, bank interest was an income of DKK 1m (expense of DKK 29m), and interest expenses from leases was DKK 9m (DKK 9m).
Tax on profit for Q2 was a net expense of DKK 43m (DKK 4m) and DKK 71m (DKK 10m) for the year -to date, corresponding to an average effective tax rate on profit of 23% (21%) year -to -date.
Net profit for Q2 was DKK 144m (DKK 15m) and DKK 236m (DKK 37m) for the year -to -date, equivalent to 9% (2%) of revenue.
Diluted earnings per share (EPS -D) for Q2 were DKK 0.54 (DKK 0. 06) and DKK 0.89 (DKK 0.15) for the year to -date .

| DKKm | Q2 2023/24 |
Q2 2022/23 |
Change in value |
YTD 2023/24 |
YTD 2022/23 |
Change in value |
|---|---|---|---|---|---|---|
| Net profit | 144 | 15 | 129 | 236 | 37 | 199 |
| Tax, financials and DA | 141 | 110 | 31 | 262 | 233 | 29 |
| EBITDA | 285 | 125 | 160 | 498 | 270 | 228 |
| Change in working capital | -67 | 14 | -81 | -82 | -199 | 117 |
| Other items | -22 | -40 | 18 | -31 | -70 | 39 |
| Cash flow from operating activities (CFFO) | 196 | 99 | 97 | 385 | 1 | 384 |
| Cash flow from investing activities (CFFI) | -68 | -78 | 10 | -122 | -154 | 32 |
| Free cash flow (FCF) | 128 | 21 | 107 | 263 | -153 | 416 |
| Cash flow from financing activities (CFFF) | -16 | 234 | -250 | -31 | 148 | 179 |
| Changes in cash | 112 | 110 | 2 | 232 | -5 | 237 |
| Cash flow in % of revenue: | ||||||
| Cash flow from operating activities (CFFO) | 14 | 8 | ‐ | 15 | 0 | ‐ |
| Cash flow from investing activities (CFFI) | -5 | -6 | ‐ | -5 | -7 | ‐ |
| Free cash flow (FCF) | 9 | 2 | ‐ | 10 | -7 | ‐ |

Free cash flow before acquisitions (DKKm) and CFFO and CFFI relative to revenue (%)

Cash flow from operating activities (CFFO) for Q2 was DKK 196m (DKK 99m), corresponding to a change of DKK 97m. Overall, the increase was driven by an improved profitability, however, slightly reduced by working capital investments to support the growing business.
CFFO for the year-to-date was DKK 385m (DKK 1m).
Cash flow from investing activities (CFFI) for the yearto-date was DKK -122m (DKK -154m), primarily driven by R&D activities of DKK -77m (DKK -112m) and investments into production capacities and IT projects.
Free cash flow (FCF) for Q2 totalled DKK 128m (DKK 21m), and FCF for the year-to-date was DKK 263m, up DKK 416m, compared to the same period last year. The improvement was mainly driven by improved profitability and lower investments in working capital, due to a soft comparison as net working capital was significantly higher last year.
Cash flow from financing activities (CFFF) amounted to DKK -16m (DKK 234m) for the quarter and DKK -31m (DKK 346m) for the year-to-date.
| DKKm | Q2 2023/24 | FY 2022/23 | Change in value | Change in % |
|---|---|---|---|---|
| Non-current assets | 4,821 | 4,851 | -30 | -1% |
| Inventories | 920 | 907 | 13 | 1% |
| Trade receivables | 744 | 766 | -22 | -3% |
| Other current assets | 189 | 178 | 11 | 6% |
| Cash and cash equivalents | 387 | 157 | 230 | 146% |
| Total assets | 7,061 | 6,859 | 202 | 3% |
| Equity | 5,605 | 5,393 | 212 | 4% |
| Interest-bearing debt | 630 | 584 | 46 | 8% |
| Trade and other payables | 785 | 851 | -66 | -8% |
| Other liabilities | 41 | 31 | 10 | 32% |
| Total equity and liabilities | 7,061 | 6,859 | 202 | 3% |
At the end of Q2, total assets were DKK 7,061m, up DKK 202m from FY 2022/23, and invested capital was DKK 5,848m.
Non-current assets at the end of Q2 were DKK 4,821m, constituting a DKK -30m decrease from FY 2022/23, driven by DKK -11m in currency translations and DKK - 178m in amortisation and depreciation, partly offset by total investments of DKK 122m and lease commencement of DKK 63m.
Net working capital (NWC) for Q2 was DKK 1,011m, up DKK 72m since FY 2022/23. NWC corresponded to 20% (24%) of revenue on a 12-month basis.
Net working capital (DKKm) and net working capital relative to revenue (%)

Inventories were DKK 920m, up DKK 13m from FY 2022/23, equivalent to 18% (24%) of revenue on a 12 month basis.

Trade receivables amounted to DKK 744m at the end of Q2, versus DKK 766m at the end of FY 2022/23. The financial risk on trade receivables remained low, unchanged from last year. Trade receivables constituted 15% (16%) of revenue on a 12-month basis.
Trade payables and other payables decreased since FY 2022/23 by DKK 66, to DKK 785m, primarily due to the payments of last year's performance bonuses and timing in payments.
Cash and cash equivalents amounted to DKK 387m, up DKK 230m since FY 2022/23, mainly due to the strong free cash flow in both Q1 and Q2.
Net interest-bearing debt (NIBD) was DKK 243m by the end of Q2, down by DKK 184m since FY 2022/23, driven by the change in cash and cash equivalent, however slightly reduced by commenced leases.
Total credit lines in Q2 were DKK 1,800m, unchanged since FY 2022/23, of which DKK 0m was utilised.
At the end of Q2, Ambu had unutilised capital resources from cash and cash equivalents, as well as overdraft facilities and credit lines, of approximately DKK 2.2bn.

At the end of March 2024, equity totalled DKK 5,605m, corresponding to an equity ratio of 79%. The share capital was DKK 135m, distributed on 269.3m shares.
At the Annual General Meeting, held on 13 December 2023, a proposal to not distribute dividend was adopted, and ordinary dividend to the shareholders will consequently be DKK 0m (DKK 0m).
Ambu's holding of Class B treasury shares was 2,993,000 by end of Q2, unchanged from FY 2022/23, corresponding to 1.1% of the total share capital.
Other comprehensive income included a translation adjustment, arising from the translation of subsidiaries in foreign currency, for the year-to-date of DKK -37m (DKK -188m). The reduction was driven by the depreciating USD/DKK since FY 2022/23.

Ambu continues to make strides in sustainability and has, as a result, been recognised as a market leader for several years. For Ambu, sustainability is a true differentiator and a source of competitive advantage, and the company is committed to advancing the agenda by leapfrogging towards a sustainable future. For Ambu, the sustainability agenda centres on two main areas: 1) Circular products and packaging, and 2) Approaching net-zero emissions.
Ambu is dedicated to sustainable endoscopy by designing products and packaging that facilitate recycling through the use of sustainable materials. In April 2024, Ambu obtained FDA clearance of aScope™ Gastro Large, an endoscope with a handle made with bioplastics.
• aScope™ Gastro Large is the first of Ambu's fleet of endoscopes to be manufactured with bioplastics and thus represents an important step forward in the company's commitment to integrating bioplastics in all future endoscope handles by the end of 2024.
Ambu is committed to operating responsibly and approaching net-zero emissions in collaboration with suppliers and other partners. To deliver on its near-term carbon reduction targets for scope 1, 2 and 3 greenhouse gas emissions*, Ambu is executing on its plan, which includes:
Ambu's near-term targets are key building blocks in the company's long-term objective to achieve net-zero emissions across the value chain by 2045. Ambu expects to submit its long-term carbon reduction targets to the Science Based Target initiative during the 2023/24 financial year.
Journey towards net-zero emissions
| YTD 23/24 | YTD 23/24 | Change (%) | ||
|---|---|---|---|---|
| Recycled waste, % of total waste | 51% | 45% | 15% | |
| Waste per tonne finished goods | 0.28 | 0.28 | 2% | |
| CO2e** per tonne finished goods | 1.82 | 2.01 | -10% | |
| Energy per product (GJ per tonne finished goods) |
19 | 22 | -9% |
** Including scope 1 and 2
Waste management remains a focus area across Ambu's manufacturing sites and offices. Year to date, Ambu has had a 15% increase in the share of recycled waste, compared to same period the year before. However, due to the increase in production output at manufacturing sites, as well as the number of employees, the waste per tonne of finished goods increased by 2%. Ambu continues to focus on waste management initiatives, which includes recycling and converting food waste into biogas and fertilizers, as well as recycling materials (runners) from injection moulding processes at manufacturing sites.
Ambu continues its carbon reductions efforts, in line with our near-term carbon reduction targets, which are validated by the Science Based Target initiative. Year to date, the CO2e per tonne finished goods decreased by 10%, due to, among other things, increased production, accompanied by energy efficiency measures at Ambu's manufacturing sites. The 9% decrease in energy consumed per tonne of finished goods is a positive development, showing a decoupling of energy consumption and product output. Ambu continues its targeted efforts with energy improvement
measures, as well as strengthened data collection. • Scope 1 includes greenhouse gas emissions occurring from activities under Ambu's direct control in sources that are owned or controlled by Ambu. Scope 2 refers to indirect greenhouse gas emissions caused by the energy Ambu purchases, such as electricity and district heating. Scope 3 encapsulates indirect greenhouse gas emissions – not included in scope 2 – that occur in our value chain, including both upstream and downstream emissions.
The financial outlook for the 2023/24 financial year was adjusted in connection with the announcement of preliminary results on 10 April 2024 – and is maintained as of 14 May 2024. The outlook for organic revenue growth is 10-12%, and the outlook for EBIT margin before special items is 10-12%. In addition, Ambu now – as of 14 May 2024 – assumes organic growth from Endoscopy Solutions to reach above 15% (previously around 15%).
| Local currencies | 10 Apr, 2024 | 8 Nov, 2023 | |
|---|---|---|---|
| Organic revenue growth | 10-12% | 7-10% |
| Danish Kroner | 10 Apr, 2024 | 8 Nov, 2023 |
|---|---|---|
| EBIT margin before special items | 10-12% | 8-10% |
| Free cash flow | DKK +370m | DKK +270m |
| 14 May, 2024 | 8 Nov, 2023 | |
|---|---|---|
| USD/DKK | 6.93 | 6.95 |
| MYR/DKK | 1.46 | 1.47 |
| CNY/DKK | 0.96 | 0.98 |
| GBP/DKK | 8.67 | 8.61 |
Forward-looking statements, in particular relating to future sales, operating income and other key financials, are subject to risks and uncertainties. Various factors, many of which lie outside of Ambu's control, may cause the realised results to differ materially from the expectations presented in this earnings release. Such factors include, but are not confined to, changes in market conditions and the competitive situation, changes in demand and purchasing patterns, fluctuations in foreign exchange and interest rates, as well as general economic, political and commercial conditions.
| Financial calendar | |
|---|---|
| 2023/24 | |
| 30 Aug 30 Sep |
Earnings release Q3 2023/24 End of 2023/24 financial year |
| 2024/25 | |
| 31 Oct | Deadline for the inclusion of specific items on the agenda for the Annual General Meeting 2024 |
| 5 Nov | Annual Report 2023/24 |
| 4 Dec | Annual General Meeting 2024 |
| DKKm | Q2 2023/24 |
Q1 2023/24 |
Q4 2022/23 |
Q3 2022/23 |
Q2 2022/23 |
Q1 2022/23 |
|---|---|---|---|---|---|---|
| Revenue by products: | ||||||
| Pulmonology | 427 | 398 | 390 | 373 | 378 | 346 |
| Endoscopy Solutions excl. pulmonology | 380 | 350 | 333 | 311 | 285 | 271 |
| Endoscopy Solutions | 807 | 748 | 723 | 684 | 663 | 617 |
| Anaesthesia | 287 | 268 | 285 | 271 | 264 | 273 |
| Patient Monitoring | 273 | 238 | 251 | 240 | 262 | 242 |
| A&PM | 560 | 506 | 536 | 511 | 526 | 515 |
| Revenue | 1,367 | 1,254 | 1,259 | 1,195 | 1,189 | 1,132 |
| Production costs | -554 | -515 | -544 | -523 | -525 | -470 |
| Gross profit | 813 | 739 | 715 | 672 | 664 | 662 |
| Selling and distribution costs | -381 | -378 | -383 | -359 | -394 | -386 |
| Development costs | -81 | -74 | -82 | -75 | -69 | -69 |
| Management and administrative costs | -157 | -161 | -153 | -147 | -155 | -139 |
| Operating profit (EBIT) before | ||||||
| special items | 194 | 126 | 97 | 91 | 46 | 68 |
| Special items | 0 | 0 | -6 | -2 | 0 | 0 |
| Operating profit (EBIT) | 194 | 126 | 91 | 89 | 46 | 68 |
| Financial income | 4 | 3 | 2 | 0 | -1 | 1 |
| Financial expenses | -11 | -9 | 7 | -26 | -26 | -41 |
| Profit before tax (PBT) | 187 | 120 | 100 | 63 | 19 | 28 |
| Tax on profit for the period | -43 | -28 | -20 | -12 | -4 | -6 |
| Net profit for the period | 144 | 92 | 80 | 51 | 15 | 22 |
| Key figures and ratios: | ||||||
| Gross margin, % | 59.5 | 58.9 | 56.8 | 56.2 | 55.8 | 58.5 |
| Operating Expenditures (OPEX) | 619 | 613 | 618 | 581 | 618 | 594 |
| OPEX ratio, % | 45.3 | 48.9 | 49.1 | 48.6 | 52.0 | 52.5 |
| EBITDA before special items | 285 | 213 | 189 | 173 | 125 | 145 |
| EBITDA margin before special items, % | 20.8 | 17.0 | 15.0 | 14.5 | 10.5 | 12.8 |
| EBIT margin before special items, % | 14.2 | 10.0 | 7.7 | 7.6 | 3.9 | 6.0 |
| NIBD/EBITDA before special items | 0.3 | 0.5 | 0.7 | 1.2 | 1.6 | 3.9 |
| Net working capital, % of revenue | 20 | 19 | 20 | 21 | 24 | 25 |
| Organic growth, products, %: | -16.8 46.6 2.6 |
|---|---|
| Pulmonology 13.9 18.1 15.9 16.0 -3.4 |
|
| Endoscopy Solutions excl. pulmonology 33.3 34.2 37.2 33.2 36.3 |
|
| Endoscopy Solutions 22.3 25.1 24.9 23.3 10.6 |
|
| Anaesthesia 9.1 2.2 7.4 -7.1 -11.3 |
4.3 |
| Patient Monitoring 4.8 0.0 -3.0 -7.4 7.8 |
6.0 |
| A&PM 7.0 1.2 2.3 -7.2 -2.8 |
5.1 |
| Organic growth 15.5 14.2 14.1 8.1 4.2 |
3.7 |
| Exchange rate effects -0.5 -3.3 -5.8 -2.2 1.8 |
6.1 |
| Reported revenue growth 15.0 10.9 8.3 5.9 6.0 |
9.8 |
| Organic growth, markets, %: | |
| North America 18.9 13.2 22.6 9.2 8.2 |
8.7 |
| Europe 13.7 14.6 6.6 9.8 -1.2 |
-4.2 |
| Rest of World 7.5 18.2 2.7 -1.9 7.3 |
14.3 |
| Organic growth 15.5 14.2 14.1 8.1 4.2 |
3.7 |
| Cash flow, DKKm: | |
| Cash flow from operating activities 196 189 273 244 99 |
-98 |
| Cash flow from investing activities -68 -54 -85 -87 -78 |
-76 |
| Free cash flow 128 135 188 157 21 |
-174 |
| Cash flow, % of revenue: | |
| Cash flow from operating activities 14 15 22 20 8 |
-9 |
| Cash flow from investing activities -5 -4 -7 -7 -6 |
-6 |
| Free cash flow 9 11 15 13 2 |
-15 |
| Balance sheet: | |
| Assets 7,061 6,838 6,859 6,824 6,937 |
7,006 |
| Net working capital 1,011 932 939 987 1,108 |
1,144 |
| Equity 5,605 5,421 5,393 5,240 5,212 |
4,122 |
| Net interest-bearing debt 243 351 427 600 733 |
1,817 |
| Invested capital 5,848 5,772 5,820 5,840 5,945 |
5,939 |
| Share-related ratios (in DKK): | |
| Market price per share 114 105 74 112 103 |
89 |
| Earnings per share (EPS) 0.54 0.35 0.30 0.19 0.06 |
0.09 |
| Diluted earnings per share (EPS-D) 0.54 0.35 0.30 0.19 0.06 |
0.09 |
The Board of Directors and the Executive Management have today considered and approved the interim report of Ambu A/S for the period from 1 October 2023 to 31 March 2024. The interim report has not been audited or reviewed by the company's independent auditors.
The interim report is presented in accordance with IAS 34 – Interim Financial Reporting, as adopted by the EU and additional Danish disclosure requirements for the interim reporting of listed companies.
In our opinion, the financial report for the first six months of 2023/24 gives a true and fair view of the Group's assets, liabilities and financial position at 31 March 2024 and of the results of the Group's operations and cash flows for the period 1 October 2023 to 31 March 2024. Furthermore, in our opinion, Management's review includes a fair account of the development in the activities and financial position of the Group, as well as a description of the most significant risks and elements of uncertainty to which the Group is subject.
Besides what has been disclosed in the quarterly financial report, no changes in the Group's most significant risks and uncertainties have occurred, relative to what was disclosed in the consolidated Annual Report 2022/23.
Copenhagen, 14 May 2024
Chief Executive Officer Chief Financial Officer
Britt Meelby Jensen Henrik Skak Bender
Jørgen Jensen Shacey Petrovic Chair Vice Chair
Member Member
Member Member
Employee-elected member Employee-elected member
Thomas Bachgaard Jensen Employee-elected member
Christian Sagild Susanne Larsson
Michael del Prado Simon Hesse Hoffmann
Charlotte Elgaard Bjørnhof Jesper Bartroff Frederiksen
INTERIM REPORT Q2 2023/24

Income statement Note Q2 2023/24 Q2 2022/23 YTD 2023/24 YTD 2022/23 FY 2022/23 Revenue 3 1,367 1,189 2,621 2,321 4,775 Production costs -554 -525 -1,069 -995 -2,062 Gross profit 813 664 1,552 1,326 2,713 Selling and distribution costs -381 -394 -759 -780 -1,522 Development costs -81 -69 -155 -138 -295 Management and administrative costs -157 -155 -318 -294 -594 Operating profit (EBIT) b. s. i. 194 46 320 114 302 Special items 0 0 0 0 -8 Operating profit (EBIT) 194 46 320 114 294 Financial income 4 -1 7 0 2 Financial expenses -11 -26 -20 -67 -86 Profit before tax 187 19 307 47 210 Tax on profit for the period -43 -4 -71 -10 -42 Net profit for the period 144 15 236 37 168 Earnings per share in DKK Earnings per share (EPS) 0.54 0.06 0.89 0.15 0.64 Diluted earnings per share (EPS-D) 0.54 0.06 0.89 0.15 0.64
| Statement of comprehensive income | Q2 2023/24 |
Q2 2022/23 |
YTD 2023/24 |
YTD 2022/23 |
FY 2022/23 |
|---|---|---|---|---|---|
| Net profit for the period | 144 | 15 | 236 | 37 | 168 |
| Other comprehensive income: income statement under certain conditions: |
|||||
| Translation adj. in foreign subsidiaries | 33 | -22 | -37 | -188 | -168 |
| Other comprehensive income after tax | 33 | -22 | -37 | -188 | -168 |
| Comprehensive income for the period | 177 | -7 | 199 | -151 | 0 |
DKKm DKKm
| YTD | YTD | FY | |
|---|---|---|---|
| 2023/24 | 2022/23 | 2022/23 | |
| Net profit | 236 | 37 | 168 |
| Adjustment for non-cash items: | |||
| Income taxes in the Income statement | 71 | 10 | 42 |
| Depreciation, amortisation and impairment losses | 178 | 154 | 348 |
| Financial items | 13 | 76 | 84 |
| Share-based payment | 11 | 0 | 17 |
| Change in working capital | -82 | -199 | -21 |
| Change in provisions | -3 | 0 | 0 |
| Interest paid | -12 | -40 | -63 |
| Income tax paid | -27 | -37 | -57 |
| Cash flow from operating activities | 385 | 1 | 518 |
| Investments in intangible assets | -91 | -121 | -255 |
| Investments in tangible assets | -31 | -33 | -71 |
| Cash flow from investing activities | -122 | -154 | -326 |
| Free cash flow | 263 | -153 | 192 |
| Proceeds from borrowings | 0 | 230 | 325 |
| Repayment of borrowings | 0 | -1,140 | -1,575 |
| Repayment in respect of lease liability | -31 | -33 | -63 |
| Exercise of options | 0 | 14 | 14 |
| Sale of treasury shares | 0 | 23 | 23 |
| Capital increase | 0 | 1,054 | 1,054 |
| Cash flow from financing activities | -31 | 148 | -222 |
| Changes in cash and cash equivalents | 232 | -5 | -30 |
| Cash and cash equivalents, beginning of period | 157 | 187 | 187 |
| Translation adjustment of cash and cash equivalents | -2 | 0 | 0 |
| Cash and cash equivalents, end of period | 387 | 182 | 157 |
| YTD 2023/24 |
YTD 2022/23 |
FY 2022/23 |
|
|---|---|---|---|
| Cash and cash equivalents, end of period, are composed as follows: |
|||
| Cash at bank and in hand | 233 | 182 | 157 |
| Short-term deposits | 154 | 0 | 0 |
| Cash and cash equivalents, end of period | 387 | 182 | 157 |
DKKm DKKm
| Assets | 31.03.24 31.03.23 30.09.23 | ||
|---|---|---|---|
| Goodwill | 1,551 | 1,545 | 1,565 |
| Acquired technologies, trademarks and customer relations | 613 | 454 | 643 |
| Acquired technologies in progress | 0 | 212 | 0 |
| Completed development projects | 940 | 769 | 888 |
| Other incl. IT software | 71 | 55 | 71 |
| Development projects and other assets in progress | 407 | 539 | 444 |
| Intangible assets | 3,582 | 3,574 | 3,611 |
| Property, plant and equipment | 566 | 591 | 584 |
| Right-of-use assets | 615 | 567 | 571 |
| Deferred tax asset | 58 | 85 | 85 |
| Total non-current assets | 4,821 | 4,817 | 4,851 |
| Inventories Trade receivables |
920 744 |
1,086 671 |
907 766 |
| Other receivables | 44 | 50 | 44 |
| Income tax receivable | 50 | 45 | 50 |
| Prepayments | 88 | 74 | 73 |
| Derivative financial instruments | 7 | 12 | 11 |
| Cash and cash equivalents | 387 | 182 | 157 |
| Total current assets | 2,240 | 2,120 | 2,008 |
| Total assets | 7,061 | 6,937 | 6,859 |
| Equity and liabilities | 31.03.24 31.03.23 30.09.23 | ||
|---|---|---|---|
| Share capital | 135 | 135 | 135 |
| Other reserves | 5,470 | 5,077 | 5,258 |
| Equity | 5,605 | 5,212 | 5,393 |
| Deferred tax | 4 | 8 | 3 |
| Provisions | 9 | 18 | 9 |
| Lease liabilities | 557 | 493 | 512 |
| Borrowings | 0 | 340 | 0 |
| Non-current liabilities | 570 | 859 | 524 |
| Provisions | 6 | 4 | 9 |
| Lease liabilities | 73 | 82 | 72 |
| Trade payables | 376 | 358 | 359 |
| Income tax | 22 | 7 | 10 |
| Other payables | 409 | 415 | 492 |
| Current liabilities | 886 | 866 | 942 |
| Total liabilities | 1,456 | 1,725 | 1,466 |
| Total equity and liabilities | 7,061 | 6,937 | 6,859 |
| Share | Reserve foreign currency trans lation |
Retained | Proposed | ||
|---|---|---|---|---|---|
| capital | adj. | earnings | dividend | Total | |
| Equity 1 October 2023 | 135 | 211 | 5,047 | 0 | 5,393 |
| Net profit for the period | 236 | 236 | |||
| Other comprehensive income for the period | -37 | -37 | |||
| Total comprehensive income | 0 | -37 | 236 | 0 | 199 |
| Transactions with the owners: | |||||
| Share-based payment | 11 | 11 | |||
| Tax deduction relating to share-based pay | 2 | 2 | |||
| Equity 31 March 2024 | 135 | 174 | 5,296 | 0 | 5,605 |
Other reserves are made up of reserve for foreign currency translation adjustment, retained earnings and proposed dividend, totalling DKK 5,470m (31.03.2023: DKK 5,077m).
| DKKm | Share capital |
Reserve foreign currency trans lation adj. |
Retained earnings |
Proposed dividend |
DKKm Total |
|
|---|---|---|---|---|---|---|
| Equity 1 October 2022 | 129 | 379 | 3,753 | 0 | 4,261 | |
| Net profit for the period Other comprehensive income for the period |
-188 | 37 | 37 -188 |
|||
| Total comprehensive income | 0 | -188 | 37 | 0 | -151 | |
| Transactions with the owners: Share-based payment Tax deduction relating to share-based pay Exercise of options Sale of treasury shares Share capital increase1) |
6 | 6 5 14 23 1,048 |
6 5 14 23 1,054 |
|||
| Equity 31 March 2023 | 135 | 191 | 4,886 | 0 | 5,212 |
1) On 24 March 2023, Ambu concluded its accelerated bookbuild offering to increase the share capital by a nominal amount of DKK 6m. The total net proceeds raised in Q2 2022/23 was DKK 1,054m.
INTERIM REPORT Q2 2023/24
The interim report for the period 1 October 2023 to 31 March 2024 is presented in accordance with IAS 34 – Interim Financial Reporting as adopted by the EU and additional Danish disclosure requirements for the interim reporting of listed companies.
The accounting principles applied are consistent with the principles applied in the annual report for 2022/23, except for the extended practise explained below.
Ambu has entered into short-term deposits with a maturity less than three months. These are classified as Cash and cash equivalents.
Ambu is a supplier of medtech products for the global market. Except for the sales of the various products, no structural or organisational aspects allow for a division of earnings from individual products, as sales channels, customer types and sales organisations are identical for all important markets. Furthermore, production processes and internal controls and reporting are identical, which means that, with the exception of revenue, everything else is unsegmented. Ambu has thus identified one segment.
Note 3 – Revenue
| Q2 2023/24 |
Q2 2022/23 |
YTD 2023/24 |
YTD 2022/23 |
FY 2022/23 |
|
|---|---|---|---|---|---|
| Endoscopy solutions | 807 | 663 | 1,555 | 1,280 | 2,687 |
| Anaesthesia | 287 | 264 | 555 | 537 | 1,093 |
| Patient Monitoring | 273 | 262 | 511 | 504 | 995 |
| Total revenue by activities | 1,367 | 1,189 | 2,621 | 2,321 | 4,775 |
| North America | 684 | 586 | 1,315 | 1,171 | 2,424 |
| Europe | 541 | 473 | 1,046 | 913 | 1,863 |
| Rest of World | 142 | 130 | 260 | 237 | 488 |
| Total revenue by markets | 1,367 | 1,189 | 2,621 | 2,321 | 4,775 |
Ambu's ongoing operations and the use of Ambu's products in hospitals and clinics etc. involve the general risk of claims for damages and sanctions against Ambu. The risk is deemed to be customary.
Ambu is involved from time to time in disputes with customers and patients about Ambu's products. Appropriate provisions are made on an ongoing basis, and product liability insurance has been taken out. The management believes that the likely outcomes of these disputes can be covered by the provisions made and recognised in the balance sheet as at 31 March 2024.
In addition to the matters described in this interim report, the management is not aware of any events subsequent to 31 March 2024 which could be expected to have a significant impact on the group's financial position.

Since 1937, Ambu has been rethinking solutions, together with healthcare professionals, to save lives and improve patient care. Today, millions of patients and healthcare professionals worldwide depend on the efficiency, safety and performance of our single-use endoscopy, anaesthesia and patient monitoring solutions.
Headquartered near Copenhagen in Denmark, Ambu employs around 4,600 people in Europe, North America, Latin America and Asia Pacific.
For more information, please visit Ambu.com.
Investors Anders Hjort Head of Investor Relations [email protected] | +45 2892 8881
Media
Tine Bjørn Schmidt Head of Corporate Communications [email protected] | +45 2264 0697
Ambu A/S Baltorpbakken 13 DK-2750 Ballerup, Denmark Tel.: +45 7225 2000 CVR no.: 63 64 49 19 Ambu.com
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